Does the Digital Therapeutic Alliance Exist? Integrative Review
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Summary
This summary is machine-generated.This review defines the digital therapeutic alliance (DTA) in AI mental health tools, highlighting its role in fostering empathy and engagement for better user outcomes. Further research is needed to address personalization and ethical considerations.
Area Of Science
- Digital Health
- Psychiatry
- Human-Computer Interaction
Background
- Mental health disorders are a global concern, increasing the demand for accessible digital interventions.
- Artificial intelligence (AI)-powered chatbots offer a scalable solution to bridge gaps in mental healthcare access.
- The concept of a digital therapeutic alliance (DTA) is explored to enhance user outcomes in AI-driven mental health tools.
Purpose Of The Study
- To identify core concepts underpinning the digital therapeutic alliance (DTA) in AI-driven mental health interventions.
- To propose an initial definition of the DTA based on identified conceptual elements.
Main Methods
- Systematic literature search using PRISMA and integrative review methodology across multiple databases (Medline, Web of Science, PsycNet, Google Scholar).
- Data extraction and analysis based on Horvath et al's therapeutic alliance framework (goal alignment, task agreement, therapeutic bond).
- Quality assessment using the Newcastle-Ottawa Scale and Cochrane Risk of Bias Tool.
Main Results
- 28 studies were included, informing a conceptual framework for the DTA.
- Key DTA elements identified: goal alignment, task agreement, therapeutic bond, user engagement, and influencing factors.
- Interventions primarily involved AI chatbots, digital psychotherapy, and other digital tools.
Conclusions
- The DTA framework provides a foundation for understanding how AI tools can replicate therapeutic mechanisms like empathy and trust.
- The DTA shows potential for improving accessibility and engagement in mental healthcare.
- Further research is essential to address personalization, ethical issues, and the long-term impact of DTAs.
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